Status:

UNKNOWN

Risk Adapted SABR(SABR) in Stage I NSCLC And Lung Metastases

Lead Sponsor:

Institut Català d'Oncologia

Conditions:

Carcinoma, Non-Small-Cell Lung

Neoplasm Metastasis

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This study is designed to evaluate the safety of Stereotactic Ablative Radiotherapy (SBRT) in selected patients with stage I Non Small Cell Lung Cancer (NSCLC) or metastatic lung cancer to demonstrate...

Detailed Description

The intervention (dose and fractions) depends on topographical parameters: lung disease (primary, peripheral nodes or mediastinal nodes), distance to chest wall, tumour size and distance to main bronc...

Eligibility Criteria

Inclusion

  • Histologically-confirmed primary lung cancer or lung metastasis from another primary tumour or positive PET/CT suggestive for primary tumour(SUV MAX\> 4).
  • Tumour size \< 5 cm in diameter prior to treatment.
  • Medically inoperable patients as determined by the multidisciplinary thoracic tumour board, or medically operable patients who refuse surgery.
  • Life expectancy of \>12 months.
  • Criterion for medical inoperability include:
  • Overall clinical assessment at the UCLA thoracic tumour board. Reduced Pulmonary Function (FEV1, DLCO, etc) based on one major or two minor criterion as described below: Minor Criteria: Age \> 75, FEV1 51- 60% predicted, or FEV1 1-1.2L, DLCO 51%-60% predicted, pulmonary hypertension, poor left ventricular function (EF \< 40% or less), resting or exercise arterial pO2 \< 55 mmHg, and pCO2 \> 45 mmHg.
  • Age \> 18 years.
  • KPS \> 70.
  • Barthel score \>40
  • Baseline computed tomography scans of the chest, pulmonary test function, and positron emission tomography no more than 2 months before treatment.
  • If a woman is of childbearing potential, a negative urine or serum pregnancy test must be documented.
  • Ability to understand and the willingness to sign a written informed consent.

Exclusion

  • Prior thoracic radiation treatment wich dose contribution can be expected in the new SBRT plan.
  • More than two lesions per lobe.
  • Active infections requiring systemic antibiotics.
  • Age \<18 years old.
  • KPs \< 70.
  • Barthel Total Score \< 40.

Key Trial Info

Start Date :

June 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2020

Estimated Enrollment :

67 Patients enrolled

Trial Details

Trial ID

NCT01823003

Start Date

June 1 2012

End Date

July 1 2020

Last Update

August 7 2019

Active Locations (1)

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Institut Català d'Oncologia - L'Hospitalet

L'Hospitalet de Llobregat, Barcelona, Spain, 08908